1. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Breastfeeding Update Anne Whitmire IBCLC RLC WIC Breastfeeding Coordinator Arizona Department of Health Services

2. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Breastfeeding Update ARRA Grant Peer Counselor Program –Expansion –Support –Funding WIC –Continuing Education –Incentive Funds –Data Clean-Up

3. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona ARRA Grant American Recovery and Reinvestment Act of 2009 Communities Putting Prevention to Work Statewide Policy and Environmental Change –Nutrition; –Physical Activity; and –Tobacco

4. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Nutrition - Breastfeeding Maternity Care Practices Workplace Accommodation Tobacco

5. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Maternity Care Practices Getting It Right After Delivery –Initiate breastfeeding within the first hour after birth. –Avoid giving infants fluids or solids other than breast milk unless medically necessary. –Promote 24-hour rooming-in, encouraging the family to recognize and respond to infant’s cues. –Do not use a pacifier or artificial nipple with infants during the hospital stay. –Give mothers a telephone number to call for help with breastfeeding.

6. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Maternity Care Practices - Continued Components –Arizona Perinatal Trust –Training ASU –Technical Assistance –Materials Patient Hospital

7. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Workplace Accommodation Workplace Accommodation for Nursing Mothers –Employers make a reasonable effort to: provide a private location in close proximity to a nursing employee’s work area (other than a toilet stall) in which to express milk ; provide time to express breast milk for up to two years after the child’s birth (can be paid/unpaid meal and/or break time); and Not discriminate against women for expressing milk in the workplace.

8. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Workplace Accommodation - Continued Components –ADHS contracts –Materials Business Case for Breastfeeding Website –Technical Assistance –Marketing Campaign

9. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Breastfeeding/Tobacco Components –Breastfeeding Hotline –Quitline

10. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Peer Counselor Program

11. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Peer Counselor Program Expansion Core Service –2012 –Tailored for your community –Considerations: Full-time vs. Part-time Home-based vs. Office Hospital Yes/No Home visits Yes/No Neighboring Counties

12. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Peer Counselor - Support Current –Coconino; –Maricopa; –Mohave; –Pima; –Pinal; –Yavapai; and –Yuma

13. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Peer Counselor - Funding 2009 –WIC Peer Counselor Funds: $275,000 –WIC Funds: $ 2 million 2010 –WIC Peer Counselor Funds: $1.5 million

14. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona WIC Breastfeeding – Continuing Education IBCLC –Current: 32 –Recertification Staff –Molly Pessel January March

15. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona WIC Breastfeeding – Incentive Funds

16. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona WIC Breastfeeding – Data Clean-up PC 2010 Update Currently Breastfeeding December 2009

17. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona Questions? WIC Anne Whitmire 150 N. 18 th Ave, Suite 310 Phoenix, AZ 85007 (602)364-3316 Whitmia@azdhs.gov State/WIC Christa Bridges-Jones 150 N. 18 th Ave, Suite 310 Phoenix, AZ 85007 (602)364-0451 Bridgec@azdhs.gov

18. Bureau of Nutrition and Physical Activity Leadership for a Healthy Arizona